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General NPI Number Information
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NPI Number | 1285823385
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Entity Type | Individual
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Provider Name | ANNETTE K WELKER CNP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 558 S TRIMBLE RD
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City | MANSFIELD
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State | OH
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Zip | 44906-3418
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Country | US
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Telephone | 419-524-1410
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Fax | 419-524-2202
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Provider Business Mailing Address
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Address Line | 335 GLESSNER AVE
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City | MANSFIELD
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State | OH
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Zip | 44903-2269
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Country | US
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Telephone | 419-524-1410
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Fax | 419-520-2565
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP-09634
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License Number State | OH
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